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Philip Turton Dima El-Sharkawi Iain Lyburn Bhupinder Sharma Preethika Mahalingam Suzanne D. Turner Fiona MacNeill Laura Johnson Stephen Hamilton Cathy Burton Nigel Mercer 《Journal of plastic, reconstructive & aesthetic surgery》2021,74(1):13-29
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon T cell Non-Hodgkin Lymphoma (NHL) associated with breast implants. Raising awareness of the possibility of BIA-ALCL in anyone with breast implants and new breast symptoms is crucial to early diagnosis. The tumour begins on the inner aspect of the peri-implant capsule causing an effusion, or less commonly a tissue mass to form within the capsule, which may spread locally or to more distant sites in the body. Diagnosis is usually made by cytological, immunohistochemical and immunophenotypic evaluation of the peri-implant fluid: pleomorphic lymphocytes are characteristically anaplastic lymphoma kinase (ALK) negative and strongly positive for CD30. BIA-ALCL is indolent in most patients but can progress rapidly. Surgical removal of the implant with the intact surrounding capsule (total en-bloc capsulectomy) is usually curative. Late diagnosis may require more radical surgery and systemic therapies and although these are usually successful, poor outcomes and deaths have been reported. By adopting a structured approach, as suggested in these guidelines, early diagnosis and successful treatment will minimize the need for systemic treatments, reduce morbidity and the risk of poor outcomes. These guidelines provide an evidence-based and systematic framework for the assessment and treatment of patients with suspected or proven BIA-ALCL and are aimed at all clinicians involved in the care of people with breast implants. 相似文献
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Glicenstein J 《Annales de chirurgie plastique et esthétique》2004,49(2):81-88
(The) 3rd December 1952, 11 surgeons and other specialists found the French Society of Plastic and Reconstructive Surgery (SFCPR) which was officially published on (the) 28 September 1953. The first congress was during October 1953 and the first president as Maurice Aubry. The first secretary was Daniel Morel Fatio. The symposiums were after about three of four times each year and the thematic subjects were initially according the reconstructive surgery. The review "Annales de chirurgie plastique" was free in 1956. The members of the Society were about 30 initially, but their plastic surgery in the big hospitals at Paris and other big towns in France. The "specialty" of plastic surgery was created in 1971. On "syndicate", one French board of plastic reconstructive and aesthetic surgery, the increasing of departments of plastic surgery were the front of increasing of the plastic surgery in French and of the number of the French Society of Plastic Reconstructive surgery (580 in 2003). The French Society organized the International Congress of Plastic Surgery in 1975. The society SFCPR became the French Society of plastic reconstruction and Aesthetic Surgery (SFCPRE) in 1983 and the "logo" (front view) was in the 1994 SOF.CPRE. 相似文献
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The estimation of breast implant size in both aesthetic and reconstructive surgery often is a matter of clinical and intraoperative
trial and error, with subsequent differences in the resulting postoperative outcomes. Numerous techniques for preoperative
estimation of implant size are in current use. However, although such techniques are inexpensive, they often are inaccurate
and prone to error on the part of both the surgeon and the patient. Techniques for intraoperative estimation of breast implant
size involve either the use of trial sizers or the surgeon’s own guesswork based on the preoperative consultation. A novel
technique is presented that uses commonly available surgical gauze swabs. The senior author has applied this technique in
both aesthetic and reconstructive breast surgery for many years. This easily reproducible method is inexpensive and produces
reliable and highly satisfactory results. 相似文献
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Trichorhinophalangeal syndrome is an autosomal dominant disorder characterized by a number of clinical features including
short stature, sparse scalp hair, a pear-shaped bulbous nose, upper lip deformity, protruding ears, mandibular hypoplasia,
and cone-shaped epiphyses of the phalanges. The syndrome has three subgroups: types I, II, and III. Although a few authors
have pointed out the importance of aesthetic and plastic surgery in this syndrome, it has attracted relatively little attention.
This review of the literature indicates that many patients have had various surgical corrections for associated abnormalities,
including otoplasty and rhinoplasty. Unlike aesthetic or plastic corrections in other well-known congenital disorders, most
corrections in trichorhinophalangeal syndrome have been performed prior to a diagnosis of the syndrome. Accurate identification
of this syndrome is important to provide appropriate aesthetic treatments. Careful evaluation of patients is required when
they present for surgery or aesthetic counseling, because they may have a variety of occult associations such as recurrent
respiratory tract infections and urogenital anomalies. 相似文献